J Korean Ophthalmol Soc.  2008 Mar;49(3):471-478. 10.3341/jkos.2008.49.3.471.

Photopic ON- and OFF- Responses in Korean Normal Subjects

Affiliations
  • 1Department of Ophthalmology, College of Medicine, Soonchunhyang University, Bucheon, Korea. yhohn@sch.ac.kr
  • 2Department of Ophthalmology, College of Medicine, Ewha Womans University, Seoul, Korea.

Abstract

PURPOSE
To explore the effects of stimulus duration, stimulus intensity, and background luminance on the amplitude and waveform of the ON- and OFF- responses of photopic ERG and to provide standard parameters of ON- and OFF- responses for normal Korean populations.
METHODS
Twenty normal subjects (20 eyes) were enrolled to record photopic ON-and OFF-responses using a contact lens electrode with built-in LEDs and an LED-driver. The influence of stimulus duration on wave amplitudes was studied at flash durations that varied from 5 to 200 ms. The influence of stimulus intensity was studied with 0.4, 0.7, 1.1, 1.4, 1.7, 1.9, 2.0, and 2.1 log cd/m2. In addition, the influence of background luminance was studied with 20, 30, 40, and 50 cd/m2.
RESULTS
Among 20 normal subjects, the d-waves in 16 subjects were isolated from b-waves with more than 50 ms of stimulus duration. The d-wave was observed for a 30-ms stimulus duration in 3 subjects and for a 100-ms duration in 1 subject. The amplitudes of the b-and d-waves increased as stimulus intensity was increased. The amplitudes of b-and d-waves decreased as background luminance was increased.
CONCLUSIONS
Our results suggest that the clinical use of ON-and OFF-response recording can be obtained with stimulus parameters from 100 to 150 ms in duration and a 1.7-2.1 log cd/m2 intensity under 30-40 cd/m2 background luminance.

Keyword

Electroretinography; Light-emitting diodes (LEDs); OFF-response; ON-response

MeSH Terms

Electrodes
Electroretinography

Figure

  • Figure 1. (A) LED-driver (size 20W×16D×6H cm, weight 800 gm; Mayo Co., Nagoya, Japan), (B) contact lens electrode with build-in white LEDs.

  • Figure 2. The ON- & OFF-responses of a normal human subject elicited with different stimulus durations. (2.1 log cd/m2 intensity, 40 cd/m2 background luminance)

  • Figure 3. Consistency of ON- & OFF-responses of normal human subjects elicited with different stimulus durations. (2.1 log cd/m2 intensity, 40 cd/m2 background luminance)

  • Figure 4. The averages of b- and d-wave amplitudes shown at different stimulus durations. (2.1 log cd/m2 intensity, 40 cd/m2 background luminance) (n=20)

  • Figure 5. The ON- & OFF-responses of a normal human subject elicited with different stimulus intensities. (150 ms duration, 40 cd/m2 background luminance)

  • Figure 6. Consistency of ON- & OFF-responses of normal human subjects elicited with different stimulus intensities. (150 ms duration, 40 cd/m2 background luminance)

  • Figure 7. The averages of b- and d-wave amplitudes shown at different stimulus intensities. (150 ms duration, 40 cd/m2 background luminance) (n=20)

  • Figure 8. The ON- & OFF-responses of a normal human subject elicited with different background luminances and intensities. (150 ms duration)

  • Figure 9. The average amplitudes of (a) b-wave and (b) d-wave amplitudes shown at different background luminances and intensities. (150 ms duration) (n=20)

  • Figure 10. Retinal rod and cone pathways. (From Trans Am Ophthalmol Soc 1993; 91:701–73)


Reference

References

1. Marmor MF, Zrenner E. Standard for clinical electroretinography. Doc Ophthalmol. 1995; 89:199–210.
Article
2. Sieving PA. Photopic ON-and OFF-pathway abnormalities in retinal dystrophies. Trans Am Ophthalmol Soc. 1993; 91:701–73.
3. Alexander KR, Fishman GA, Peachey NS, et al. ‘ON' response defect in paraneoplastic night blindness with cutaneous malignant melanoma. Invest Ophthalmol Vis Sci. 1992; 33:477–83.
4. Quigley M, Roy MS, Barsoum-Homsy M, et al. On- and off-response in the photopic electroretinogram in complete type congenital stationary night blindness. Doc Ophthalmol. 1996–7; 92:159–65.
5. Kabanarou SA, Holder GE, Fitzke FW, et al. Congenital stationary blindness and a “Schubert-Bornschein” type electro-physiology in a family with dominant inheritance. Br J Ophthalmol. 2004; 88:1018–22.
6. Downes SM, Holder GE, Fitzke FW, et al. Autosomal dominant cone and cone-rod dystrophy with mutations in the guanylate cyclase activator 1A gene encoding guanylate cyclase activating protein 1. Arch Ophthalmol. 2001; 119:96–105.
7. Allen LE, Zito I, Bradshaw K, et al. Genotype-phenotype correlation in British families with X-linked congenital stationary night blindness. Br J Ophthalmol. 2003; 87:1413–20.
8. Miyake Y, Yagasaki K, Horiguchi M, et al. On-and off response in photopic electroretinogram in complete and incomplete types of congenital stationary night blindness. Jpn J Ophthalmol. 1987; 31:81–7.
9. Fitzgerald KM, Cibis GW, Giambrone SA, et al. Retinal signal transmission in Duchenne muscular dystrophy: evidence for dysfunction in the photoreceptor/ depolarizing bipolar cell pathway. J Clin Invest. 1994; 93:2425–30.
10. Chen C, Zuo C, Piao C, Miyake Y. Recording rod ON and OFF responses in ERG and multifocal ERG. Doc Opthalmol. 2005; 111:73–81.
Article
11. Usui T, Tanimoto N, Ukei S, et al. Night blindness with depolarizing pattern of ON/OFF response in electroretinogram: a case report. Doc Ophthalmol. 2005; 111:15–21.
Article
12. Schiller PH. The On and Off channels of the visual system. Trends Neurosci. 1992; 15:86–92.
Article
13. Falk G. Retinal physiology. Hekenlively JR, Arden GB, editors. Principles and Practice of Clinical Electrophysiology of Vision. St Louis: Mosby;1991. chap. 7.
14. Stell WK, Ishida AT, Lightfoot DO. Structural basis for on-and off-center responses in retinal bipolar cells. Science. 1977; 198:1269–71.
15. Sustar M, Hawlina M, Brecelj J. ON- and OFF-response of the photopic electroretinogram in relation to stimulus characteristics. Doc Ophthalmol. 2006; 113:43–52.
Article
16. Kondo M, Piao CH, Tanikawa A, et al. Amplitude decrease of photopic ERG b-wave at higher stimulus intensities in humans. Jpn J Ophthalmol. 2000; 44:20–8.
Article
17. Seiple W, Holopiqian K. The ‘OFF' response of the human electroretinogram does not contribute to the brief flash ‘b-wave'. Vis Neurosci. 1994; 11:667–73.
18. Hogg C. The use of light emitting diodes in electrophysiology and psychophysics. Heckenlively JR, Arden GB, editors. Principles and Practice of Clinical Electrophysiology of Vision. St Louis: Mosby;1991. chap. 28.
19. Kondo M, Piao CH, Tanikawa A, et al. A contact lens electrode with built-in high intensity white light-emmitting diodes. Doc Ophthalmol. 2001; 102:1–9.
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